Which of the following is NOT a focus of case history questions in audiology?

The focus of case history questions in audiology primarily revolves around gathering pertinent information related to a patient's hearing health, experiences, and concerns. This includes understanding family history, as genetic factors may influence hearing loss; inquiring about tinnitus, which can be a significant symptom affecting a patient’s quality of life; and identifying the goals of the appointment, which help to tailor the evaluation and management plan based on the patient's specific needs.

Otoscopic examination, however, is not a part of case history questions but rather a clinical procedure that involves visually inspecting the ear canal and tympanic membrane. This examination is generally performed after case history gathering to look for any anatomical abnormalities or conditions that may affect hearing. Thus, while case history questions provide valuable background information, the otoscopic examination is a separate diagnostic step in the audiological assessment process.